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Organization
ERIC C.K. PENG, DDS, INC.
Active
Organization
ERIC C.K. PENG, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC CHICH-KUANG PENG DDS (PRESIDENT)
(626) 307-4078
Entity
Organization
Contact information
Practice address
7615 GARVEY AVE, ROSEMEAD, CA 91770-3001
(626) 307-4078
(626) 307-9432
Mailing address
7615 GARVEY AVE, ROSEMEAD, CA 91770-3001
(626) 307-4078
(626) 307-9432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35017
CA
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93553-01
—
CA
Enumeration date
08/25/2007
Last updated
06/14/2021
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